Active NPI
Benjamin James Newberry, PA C
- Physician Assistant
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 376 E Apple Ave
Muskegon, MI 49442-3466 - Phone
- (231) 734-1335
- NPI assigned
- Sep 5, 2014
- Last updated
- Jan 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
376 E Apple Ave
Muskegon, MI 49442-3466
Mailing address
2700 Baker St FL 3
Muskegon, MI 49444-2157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
376 E Apple Ave
Muskegon, MI 49442-3466
Phone (231) 724-1111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newaygo County General Hospital Association | Current | Accepting new patients | |
| Hackley Life Counseling | Current | Accepting new patients | |
| Hackley Community Care Center Inc | Current | Accepting new patients | |
| Hackley Community Care Center, Inc | Current | Accepting new patients | |
| County of Muskegon | Current | Accepting new patients | |
| Hackley Community Care Center Inc | Past | Accepting new patients |
Locations
204 W Main St
Fremont, MI 49412
Phone (231) 924-1122
212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
125 E Southern Ave
Muskegon, MI 49442
Phone (231) 724-3699
1675 Leahy St
Ste 103
Muskegon, MI 49442
Phone (231) 728-4915
376 E Apple Ave
Muskegon, MI 49442
Phone (231) 724-3699
2700 Baker St
Fl 3
Muskegon Heights, MI 49444
Phone (231) 733-6607
1877 N Getty St
North Muskegon, MI 49445
Phone (231) 728-5052
640 Seminole Rd
Norton Shores, MI 49441
Phone (231) 332-3827
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1629066238
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Muskegon, MI
- NPI 1003914946
-
dba Corewell Health Gerber Hospital Professional
- Hospitalist Physician
- Fremont, MI
- NPI 1750404927
-
dba Brookhaven Medical Care Facility
- Skilled Nursing Facility
- Muskegon, MI
- NPI 1659440816
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1356720262
-
dba Hackley Community Care - Forest
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1427787621
-
dba Mercy Health Partners - Life Counseling
- Clinical Social Worker
- Muskegon, MI
- NPI 1144525288
-
dba Corewell Health Gerber Hospital
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1376944777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 BAKER ST FL 3",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494442157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 E APPLE AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494423466",
"telephone_number": "231-734-1335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "BENJAMIN",
"middle_name": "JAMES",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-05",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.